1974, 01-13 Permit App: K6602 Residence•
County of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
,,GENERAL REQUIREMENTS PERMIT FEE
kdlTrEQerlistructure
is required
yucaslnto etbuilding
structure
the
kinr d
alter any building orstructurealreadyereted, ortohngealand use. Constructionmust conform with
figokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking
street, and a must be obtained rrear yard are required.
pertaining to set back and ingress
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work must egress.
be
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Address /3// k e
Address
Address
Address
Name of Owner
Architect
Engineer
Contractor vaa,. cads,C
Legal Description of Property (Give complete des,�rption from deed, tax receipt, etc )
C/ -a met �3�j4 /a d4. / -3 5- -
Phone£' � r 2
Phone
Phone
Phone
DESCRIPTION OF WORK: New P Addition Remodel
Size of Lot
Stories
Rooms if
Moving Bldg. Zone
P Fire Zone onst.
Sewage System r
Dimensions
Fr., Conc., Br., etc.)
n Total Sq. Ft //45-a.-. Valuation .2
� X '3 a,
y
Bat ull. part none►
,
% Chimney Fireplace PPS Fhl /9
(Kind) (Number
0„ ,^1,7 Ext. Finish' / /) Int. Wall Finish Oc"'1 i - a 1/
h�r1
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing a
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
Heat. System/f .E r 11 Type of Roofing
Use of Bldg. JPo.c e l > a y
Foundation Const t" 0 n C.r
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
N
NORTH
p
rra
No. of Units _ Bedrooms"eriesaiz„,) ja rl
'a41,9.c.-)
SOUTH
I her y certif info tion submitted is
as shown r
correct and there are
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE
THIS IS NOT A PERMIT.
44 14
Tour street address will be C, /4/6-0 6,
m
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
/— /3 r7/
PREMISES BEFORE
DO NOT WRITE BELOW THIS LINE
Date
CONSTRUCTION COMMENCES.
Sewage Permit Number Issued Building Permit
Remarks
The zone is cee�t-u ,tt
Receipt 41 7) Issued
Form 523 Bldg. Code
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3 6.
30
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F.R.PLAPPROVAL ONLY
SPO. CO. HEALTH DIST.
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